Laura Petiford Pmhnp, LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

006417 Issued in CT

Legal business name

LAURA PETIFORD PMHNP, LLC

Practice address

1525 Kings Hwy Ste 206
Fairfield, CT 06824-5321

Phone

(203) 445-6238

Fax

(203) 844-0179

NPI assigned

Mar 30, 2018

Last updated

Mar 30, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Laura Petiford, PMHNPNPI 1689818148

Title

Member

Phone

(203) 445-6238

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Laura Petiford, PMHNP, LMFT

  • Psychiatric/Mental Health Nurse Practitioner
  • Fairfield, CT
  • NPI 1689818148
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522368000000",
    "number": "1083110092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 KINGS HWY STE 206",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 KINGS HWY STE 206",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245321",
            "telephone_number": "203-445-6238",
            "fax_number": "203-844-0179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA PETIFORD PMHNP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-30",
        "last_updated": "2018-03-30",
        "status": "A",
        "authorized_official_last_name": "PETIFORD",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "203-445-6238",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "006417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Larrieu Sebourne
• Sheila Lasella, LMT
• David Gerard Lastomirsky, M.D.
• Amal Lattouf, D.M.D
• Rachel Laufer, PT
• Laurel Counseling & Coaching LLC
• Lauren Rinn Counseling LLC
• Bryan T. Lawlor
• Linda Ann Lawson, APRN
• Nicole Norell Lay, PA-C

• Psychiatric/Mental Health Nurse Practitioner in Fairfield, CT
• Providers in Fairfield, CT by specialty
• Psychiatric/Mental Health Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.